| NPI | 1003078072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.130277) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 050264) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-09-14 |